Cellular and molecular studies on cisplatin-induced apoptotic cell death in rat kidney

David Sheikh-Hamad1, William Cacini, Arthur R Buckley

  • 1Departments of Medicine and Renal Pathology, Baylor College of Medicine, Houston, TX 77030, USA.

Archives of Toxicology
|October 11, 2003
PubMed

Insights

Cisplatin causes kidney failure by inducing cell necrosis and apoptosis, particularly in the outer medulla. This process involves the JNK1 pathway and Bax, leading to programmed cell death.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Cell Biology

Background:

  • Cisplatin is a widely used chemotherapy agent with known nephrotoxic side effects.
  • The precise mechanisms of cisplatin-induced kidney damage, including cell death pathways, require further elucidation.

Purpose of the Study:

  • To characterize the morphological and molecular mechanisms of cisplatin-induced cell necrosis and apoptosis in rat kidneys.
  • To investigate the role of specific signaling pathways, such as JNK1, in cisplatin nephrotoxicity.

Main Methods:

  • Rats received cisplatin or saline, and kidney tissues were analyzed morphologically and molecularly.
  • Techniques included TUNEL staining, cleaved caspase-3 staining, RNase protection assay, and kinase activity assays.

Main Results:

  • Cisplatin induced acute renal failure, tubular necrosis, and apoptosis in the corticomedullary junction.
  • Pro-apoptotic gene expression (caspases 1, 2, 8, Bax) increased, while the Bcl-2/Bax ratio decreased.
  • JNK1 activity significantly increased in the outer medulla, correlating with maximal apoptosis.

Conclusions:

  • Cisplatin-induced kidney apoptosis is mediated by the JNK1 pathway and Bax in the outer medulla.
  • These findings provide insights into the molecular basis of cisplatin nephrotoxicity.
  • Targeting the JNK1 pathway could be a potential therapeutic strategy to mitigate cisplatin-induced kidney damage.